ABLM NORTHEAST PROFESIONAL ASSOCIATION NPI 1710054994

NPI Information

  • NPI: 1710054994
  • Provider Name: ABLM NORTHEAST PROFESIONAL ASSOCIATION
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: ABLM FAMILY DENTAL CENTER
  • Address: 2116 LOGAN AVE
    WATERLOO, IA
    ZIP 50703
  • Phone: (319) 235-1151

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NPI Details

ABLM NORTHEAST PROFESIONAL ASSOCIATION is a general practice dentist in Waterloo, IA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. ABLM NORTHEAST PROFESIONAL ASSOCIATION NPI is 1710054994. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ablm Family Dental Center.

The provider's business location address is:

2116 LOGAN AVE
WATERLOO, IA
ZIP 50703-006
Phone: (319) 235-1151
Fax: (319) 235-2804

The provider's authorized official is Marvin C. Vore .
The authorized official title is Partner and has the following contact phone number (319) 235-1151.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10008052MEDICAIDIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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